Asuhan Kebidanan Continuity of Care (COC) pada By.Ny. A di Klinik Tirta Medical Centre

Abstract

Continuity of Care (CoC) midwifery care is a continuous and comprehensive service provided from pregnancy, childbirth, postpartum, neonates, to family planning in order to improve maternal and neonatal health and prevent complications. This report aimed to provide comprehensive midwifery care for Mrs. A, aged 29 years, and Baby of Mrs. A at Tirta Medical Centre Clinic. The method used was a case study approach with midwifery management through assessment, data interpretation, diagnosis, planning, implementation, and evaluation of continuous care. The care was provided during pregnancy, labor, postpartum, newborn, neonatal, and family planning periods. In newborn care, Baby of Mrs. A was born spontaneously on April 24th, 2026 at 11.25 PM, male, cried strongly, had good muscle tone, birth weight of 2550 grams, body length of 48 cm, and received Early Breastfeeding Initiation (EBI), vitamin K injection, eye ointment, and hepatitis B immunization. Neonatal visits were conducted three times, namely KN1 at 2 days old, KN2 at 7 days old, and KN3 at 14 days old, showing that the baby’s general condition was good, vital signs were within normal limits, the umbilical cord was dry, and there were no signs of infection. The results of care showed that the entire Continuity of Care process for Mrs. A and Baby of Mrs. A progressed physiologically without complications. The mother was able to independently care for the baby, provide exclusive breastfeeding on demand, and understand neonatal danger signs and the infant immunization schedule. Comprehensive and continuous Continuity of Care midwifery services can improve maternal and neonatal health and support early detection of complications from pregnancy to the neonatal period.

Abstrak

Asuhan kebidanan Continuity of Care (CoC) merupakan pelayanan kebidanan yang diberikan secara berkesinambungan mulai dari masa kehamilan, persalinan, nifas, neonatus, hingga keluarga berencana untuk meningkatkan kesehatan ibu dan bayi serta mencegah terjadinya komplikasi. Laporan ini bertujuan untuk memberikan asuhan kebidanan secara komprehensif pada Ny. A umur 29 tahun dan By. Ny. A di Klinik Tirta Medical Centre. Metode yang digunakan adalah studi kasus dengan pendekatan manajemen kebidanan melalui pengkajian, interpretasi data, penegakan diagnosa, perencanaan, pelaksanaan, dan evaluasi asuhan secara berkesinambungan. Asuhan dilakukan selama masa kehamilan, persalinan, nifas, bayi baru lahir, neonatus, dan keluarga berencana. Pada asuhan bayi baru lahir, By. Ny. A lahir spontan pada tanggal 24 April 2026 pukul 23.25 WITA dengan jenis kelamin laki-laki, menangis kuat, tonus otot baik, berat badan 2550 gram, panjang badan 48 cm, serta dilakukan Inisiasi Menyusu Dini (IMD), pemberian vitamin K, salep mata, dan imunisasi Hb0. Kunjungan neonatus dilakukan sebanyak tiga kali yaitu KN1 usia 2 hari, KN2 usia 7 hari, dan KN3 usia 14 hari dengan hasil keadaan umum bayi baik, tanda vital dalam batas normal, tali pusat kering dan tidak terdapat tanda infeksi. Hasil asuhan menunjukkan bahwa seluruh proses Continuity of Care pada Ny. A dan By. Ny. A berlangsung fisiologis tanpa komplikasi. Ibu mampu melakukan perawatan bayi secara mandiri, memberikan ASI eksklusif secara on demand, serta memahami tanda bahaya neonatus dan jadwal imunisasi bayi. Asuhan kebidanan Continuity of Care yang dilakukan secara komprehensif dan berkesinambungan dapat meningkatkan kesehatan ibu dan bayi serta mendukung deteksi dini komplikasi selama masa kehamilan hingga neonatus.